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Atlas of Single-Port, Laparoscopic, and Robotic Surgery pp 211–250Cite as

Robotic-Assisted Total Laparoscopic Hysterectomy

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Abstract

Robotic-assisted total laparoscopic hysterectomy has helped advance minimally invasive hysterectomy techniques by extending the candidacy of this procedure, offering patients with more complex pathology the option of having a minimally invasive procedure for their problem. Robotic surgery presents specific challenges and complexities that are unique to this type of surgical procedure. From patient selection to operating room setup and the approach to the procedure, subtle factors can contribute to the efficiency and success of the surgery. This chapter describes the technique of the robotic hysterectomy procedure and outlines details of patient selection criteria, operating room setup, optimization of the operative team, surgical tools, and port placement. The robotic hysterectomy procedure is broken down into segments and tips for approaching difficult hysterectomies, such as those in patients with an extremely enlarged uterus or severe adhesions. Postoperative care is also important in achieving fast recovery and a shorter hospital stay (the main advantage of minimally invasive procedures), so methods of optimizing postoperative care are also addressed.

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Author information

Authors and Affiliations

  1. Benign Gynecology Section, Women’s Health Institute, Cleveland Clinic, 9500 Euclid Avenue, A-81, Cleveland, OH, 44195, USA

    Mona Orady

Authors
  1. Mona Orady
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Correspondence to Mona Orady .

Editor information

Editors and Affiliations

  1. Director of Gynecologic Oncology, Instituto Gyneco-Oncológico Hospital HIMA-Oncologico, Caguas, Puerto Rico, USA

    Pedro F. Escobar

  2. Department of Obstetrics and Gynecology, Women’s Health Institute Cleveland Clinic, Cleveland, Ohio, USA

    Tommaso Falcone

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© 2014 Springer Science+Business Media New York

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Orady, M. (2014). Robotic-Assisted Total Laparoscopic Hysterectomy. In: Escobar, P., Falcone, T. (eds) Atlas of Single-Port, Laparoscopic, and Robotic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6840-0_17

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  • DOI: https://doi.org/10.1007/978-1-4614-6840-0_17

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6839-4

  • Online ISBN: 978-1-4614-6840-0

  • eBook Packages: MedicineMedicine (R0)

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